Provider Demographics
NPI:1952520918
Name:FORT MEIGS FAMILY PHYSICIANS INC
Entity Type:Organization
Organization Name:FORT MEIGS FAMILY PHYSICIANS INC
Other - Org Name:DRS. WILLIAMS AND NEISWANDER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:G
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-874-7939
Mailing Address - Street 1:28442 E RIVER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-2858
Mailing Address - Country:US
Mailing Address - Phone:419-874-7939
Mailing Address - Fax:419-874-8651
Practice Address - Street 1:28442 E RIVER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-2858
Practice Address - Country:US
Practice Address - Phone:419-874-7939
Practice Address - Fax:419-874-8651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2013-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2461554Medicaid
OH2461554Medicaid